Successful Reimplantation of Extruded Ulnar Diaphyseal Segment: A Case Report and Review of Literature.

Autor: Olson A; Department of Orthopaedic Surgery, Ascension Macomb-Oakland Hospital, Madison Heights, Michigan., Cox Z; Department of Orthopaedic Surgery, Ascension Macomb-Oakland Hospital, Madison Heights, Michigan., Khan U; Department of Orthopaedic Surgery, Central Michigan College of Medicine, Mount Pleasant, Michigan., Best B; Department of Orthopaedic Surgery, Ascension St. John, Detroit, Michigan.
Jazyk: angličtina
Zdroj: JBJS case connector [JBJS Case Connect] 2024 Aug 22; Vol. 14 (3). Date of Electronic Publication: 2024 Aug 22 (Print Publication: 2024).
DOI: e24.00007
Abstrakt: Case: A 32-year-old man presented with a type II open both-bone forearm fracture and segmental bone loss because of complete extrusion of a diaphyseal fragment (3 cm) of ulna. The patient presented to our level 1 trauma center after a motor vehicle collision. The extruded segment underwent sterilization and immediate reimplantation with internal fixation approximately 6 hours after arrival. Our patient achieved union by 7-month follow-up, demonstrated excellent functional outcomes, and was free from infection at 1-year follow-up.
Conclusion: In select cases, successful reimplantation can be achieved by meticulous debridement, sterilization, and immediate reimplantation with internal fixation.
Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C393).
(Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze: MEDLINE